Outpatient UM Clinician
Please mention DailyRemote when applying
AI Summary
The role involves conducting utilization reviews for outpatient services and collaborating with healthcare providers to assess patient treatment plans. Additionally, the clinician manages insurance authorizations, appeals, and participates in quality improvement initiatives.
Benefits:
- 401(k)
- 401(k) matching
- Company parties
- Dental insurance
- Employee discounts
- Free food & snacks
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
About the Role:
Join MedPOINT Management as an Outpatient UM Clinician in Sherman Oaks, CA, where you will play a vital role in ensuring quality care for our patients. Be part of a dynamic team dedicated to improving patient outcomes through effective utilization management.
Responsibilities:
- Conduct utilization reviews for outpatient services to ensure compliance with standards.
- Collaborate with healthcare providers to assess patient needs and treatment plans.
- Document and track patient progress and treatment outcomes.
- Communicate with insurance companies regarding authorizations and appeals.
- Provide education and support to patients and families regarding care options.
- Participate in quality improvement initiatives to enhance service delivery.
- Stay updated on industry regulations and best practices in utilization management.
- Assist in training and mentoring new staff on UM processes.
Requirements:
- Licensed clinician with a background in nursing, social work, or a related field.
- Minimum of 2 years of experience in utilization management or case management.
- Strong understanding of healthcare regulations and insurance processes.
- Excellent communication and interpersonal skills.
- Ability to work collaboratively in a fast-paced environment.
- Proficient in electronic health records and documentation practices.
- Detail-oriented with strong analytical and problem-solving skills.
- Commitment to patient-centered care and quality improvement.
About Us:
MedPOINT Management has been a leader in outpatient management solutions for over a decade. Our commitment to quality care and patient satisfaction has earned us the trust of both our clients and employees, creating a supportive and rewarding work environment.
This is a remote position.
Automatically Apply to the Best Remote Jobs
Stop the endless job search. Our AI finds and applies to the best jobs for you.
